Individual
CAROLYN A PADEGOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
155 LAWN AVE, BUFFALO, NY 14207-1816
(716) 875-2904
(716) 875-6717
Mailing address
155 LAWN AVE, BUFFALO, NY 14207-1816
(716) 875-2904
(716) 875-6717
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290826
NY
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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